Accessibility View Close toolbar

Online Forms

Five Points Chiropractic offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.


New Patient Health History Form - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Download & Print Form



Download the Free AdobeReader®

New patients receive a free consultation!

Locations

Find us on the map

Office Hours

North Side/Pittsburgh Office

Monday:

11:00 am-6:00 pm

Tuesday:

Closed

Wednesday:

9:00 am-12:00 pm

2:00 pm-5:00 pm

Thursday:

Closed

Friday:

9:00 am-12:00 pm

2:00 pm-5:00 pm

Saturday:

Closed

Sunday:

Closed

Bethel Park Office

Monday:

Closed

Tuesday:

9:00 AM-12:00 pm

2:00 pm-5:00 pm

Wednesday:

Closed

Thursday:

11:00 am-6:00 pm

Friday:

Closed

Saturday:

9:00 am-11:00 am

Sunday:

Closed